Organization
MODACARE HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA BREFO MATTHEWS (OWNER)
(267) 974-0771
Entity
Organization
Contact information
Practice address
9200 BUSTLETON AVE APT 906, PHILADELPHIA, PA 19115-4223
(267) 974-0771
Mailing address
9200 BUSTLETON AVE APT 906, PHILADELPHIA, PA 19115-4223
(267) 974-0771
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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